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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-13)
INHERITANCE TAX DIVISION STATEMENT O F ACCOUNT
HARRISBUURGRG PPA 17128-0601
PO BOX RECORDED OFFICE OF
A
REGISTER OF WILLS DATE 11-10-2014
A ll NOV �7 {;� y ESTATE OF FUGLESTAD EVELYN
?019 17 hi 111 23 DATE OF DEATH 10-14-2013
FILE NUMBER 21 13-1168
CLEF:. Dr COUNTY CUMBERLAND
LINSENBACH ES� NS, �, ��RT ACN 101
8 N BALTIMO �rkl�
!x
��{tl r+r1 Pt, Amount Remitted
DILLSBURG BEP '170'19-1210*
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
NOTE: To ensure proper credit to your account, submit the upper portion of this form with your tax payment.
CUT ALONG THIS LINE --) RETAIN LOWER PORTION FOR YOUR RECORDS 4-
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REV-1607 EX AFP C12-13) *** INHERITANCE TAX STATEMENT OF ACCOUNT * *
ESTATE OF:FUGLESTAD EVELYN FILE NO. : 21 13-1168 ACN: 101 DATE: 11-10-2014
THIS STATEMENT PROVIDES CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. BELOW IS A SUMMARY OF THE PRINCIPAL
TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 10-14-2014
PRINCIPAL TAX DUE: 28,467.87
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
06-12-2014 CDO19288 .00 28,242.86
10-28-2014 CDO19857 .00 225.01
11-07-2014 SBADJUST .00 1.96
TOTAL TAX PAYMENT 28,467.87
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE
.00
* IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM
FOR INSTRUCTIONS.